HomeMy WebLinkAboutMechanical 99-197
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HEATING APPLICATION I PERMIT
Date ,-1/;)4/99 PID# ,--,~;-/(13.607-()
SiteAddr~ss . /55:67 /-J/~hh...,.J At/e. ,v.tJ. II/sA
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lot -7 Block / Addition J (')0 t4d (/ it'U J /3.- field/I...
Owner's Name K V/t' ---' &hrl'Jr'A,or
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Address J~/ Mbh/d.......J. ~~. 11/.td.
.. Heating Contractor . \J \e~ e.ct' ~I'"""fl t:; t..A- &kJ;, :J:.L.
Address l!tl/.')I fho;- AlN2.:5 .t=;. R/~", La~
Telephone # 1a1.J- LtI./6 -5b;)'-o
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravitv
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JIM VIERECK NOTIFIED
HOMEOWNER. NO RESPONSE
CLOSE FlLE 4/2003
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input . Output
Edr.
Cfm.
not Water
Radiation
Special Devices
Oth~e~replou..-
TYPE OF WORK
Alterations
Replacement
New Construction
Repair
~ Est. Cost $
Est. Comp. Date
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Building Permit #
HEATING PERMIT FEE $ -2) Cj , SO
.50
40 . ()O
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STATE SURCHARGE $
-TOTAL PERMIT FEES $
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Receipt #
TYPE OF STRUCTURE
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Single Family
Commercial
x
Two-Family
Industrial,
Multi-Family c'; .
Public '. OtherS
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
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1 % of job cost ($39.50 rriihiri
$99.50
. $64.50
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--$39.'50
$39.50
Remember to add the State Surcharge on the bottom of this application.:-,. .
The price of your heating permit includes one rough-in and one final insp8ctiol1
. Additional inspections will be billed at $35.00 each.
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House Heating Test Record must be submitted with buikfiDg permit riumberbe1
ing certificate of occupancy will be issued.
J::t.EAI CALCULATIONS REQUIRED with number of supply and return opening:
room with CFM's per opening. . New structures or additions send floot plan witt
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND.......
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EA(
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY .,
447-9850
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Building Offical's Signature
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